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September 15, 2019  
FORUMS: Read-Only

Topic Title: decubits lower sacum
Created On: 12/30/2002 08:25 PM
 01/03/2003 08:52 PM

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I am A Registered Nurse and wound specialist in a nursing home. I'm currently treating a wound quite like the one you described that was found on admission from a hospital. I have had excellent results in healing the wound which at the beginning measured 6.5cm x 6cm x 4cm deep with undermining and a 5cm tunnel. undermining is when the wound is open under the edges and a tunnel is when there is deep openings that are under the skin. treatment: first have your physician give you a prescription for collagenase santyl with several refills. This is a chemical that cleans the wound and aids in healing. supplies: bulb syringe (boil for 20min and reuse each time)4x4s, abdominal pad, normal saline (can be made by adding 1tsp salt to a quart of sterile water) tape and gloves. Put on gloves and fill the bulb syringe with saline and cleanse the wound thoroughly. use 1 4x4 to wipe out wound then reflush with saline and pat dry. apply collagenase santyl on a 4x4 starting in the center and circling out with about a 1/4 inch space between the line as you spiral out. Next place this 4x4 with the santyl directly on the wound making sure that the whole wound bed is covered. apply the abdominal pad over the 4x4 and tape into place. Change this dressing once a day or as needed if BM comes in contact. Make sure to turn him at least every 2 hours. I turn my resident every hour but that may not be possible for you. you should notice a difference within 1-2wks goodluck!
 12/30/2002 08:25 PM

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I am taking care of my father who is a bi-lateral amputee and has had 10 operations since May 2002. He is back in the hospital again and has a Decubits on his lower sacum at a stage IV and V. He has had 2 debriedment operations but, it just seems to be getting bigger. It is now approx. 12-14cm and now his coxyic is starting to show. It seems like no one in the hospital knows what to do with him and he is getting worse and worse. Is there anyone who knows anything and can help me? I had it down to less than 1cm with aloe-vesta but, now it is just snowballing.
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